CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) ~J ts,()11. TYPE OF REPORT STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

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1 Section 1 ame of candidate or Political Committee and Chairperson L P/JAR.l::J EC. Mailing Address.Z7 i taj :ioo CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) Office Sought (if candidate) ~J ts,()11. District (if any) RECEVED MAY O 7 20m ll',cf\~ )6 al Home Phone J..cJ t1.pf-j/:y Change of address for: Candidate or Political Committee Political Treasurer Section TYPE OF REPORT This filing is an: 151:1 Original Amendment This report is for the period from 0/ 0/ t..:jtua.. through q J/1 ~ D 7 Day Pre- Report 030 Day Post- Report 030 Day Post- Report Ooctober O Pre- Report Annual Report D Semi Annual report (Statewide Candidates Only) s this a Tennination Report? D Yes D No Section D STATEMENT OF NO CONTRBUTONS OR EXPENDTURES Directions: f you have no contributions or expenditures during this rep01ting period, check the box next to the statement below and sign this report. Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column, Section V. D hereby certify that have received no contributions and have made no expenditures during this reporting period Section V SUMMARY o reach your Calendar Year To Date figure: Add this report's Column figures to the Column fi ures of our revious re ort (exce ton line 6). Line 2. Enter Cash Balance ** ine 3. Total Contributions (Enter amount on line 5, Page 2) Line 4. Subtotal (Add lines 1, 2 and 3) Line Total Expenditures (Enter amount from line 1 ], Page 2) Line Cash Balance at Close of Period (Subh act Line 5 from Line 4)** Line Outstanding Debt to Date (Enter amount from line 18, page 2) COLUMN TWs Period COLUMN Calendar Year To Date "' This same figure should be entered on Line of all reports filed this calendar year. ** This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. f this is your first report, this amount is 0. Note: The closing cash balance for the current reporting period appears on the next report as beginning cash on hand. Return This Report to: Joseph W. Larsen Cassia County 1459 Overland Ave. Burley, Section V CERTFCATON. HEP ll!j ~,~ereby certify that the information in this report 1s a true, complete and correct Campai required by law. Finance Disclosure Report as

2 DETALED SUMMARY PAGE j.name of Candidate or Committee: LtEctJ'Afl..b /3ECK Contributions (1) Un-itemized Contributions (50 and less) # of Contributors Total This Period (2) temized Contributions (Total of all Schedule A sheets) + 2,lbd-00 (3) n-kind Contributions (Total of all Contribution amounts from Schedule C sheets) + (4) Loans (Total of all New Loan amounts from Schedule D sheets) + (5) Total Contributions (Transfer this figw e to page 1, Section V, Line 3) = 2t.,t"J t,;,oo Expenditures (6) Un-itemized Expenditures (25 and less) # ofexpenditw-es :+ (7) temized Expenditures (Total of all Schedule B sheets) + 3S')...o<> (8) n-kind Expenditures (Total of all Expenditure amounts from Schedule C sheets) + (9) Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets) + (10) Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets) + ( 1) Total Expenditures (Transfer this figure to page 1, Section V, Line 5) ;::::: 1st.cc Loans, Credit Cards and Debt (12) Outstanding balance from previous repotting period :+.-e ( 3) New Loans received during this reporting period 4- (Total of all New Loan amounts plus Accrued nterest from Schedule D sheet) (14) New Credit Card and Debt incurred this reporting period + (Total of all New ncurred Debt amounts from Schedule E sheets) (15) Subtotal (16) Repayments of Loans made during this reporting period f- (Total of all Loan Repayment amounts from Schedule D sheets) (17) Repayments of Credit Card and Debt this reporting period - (Total of all Debt Repayment amounts from Schedule E sheets) (18) Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section V, Line 7 ;,= 5135"-,t} 43~,;-. VB F SQ-:3~ 1./ ~ Pledged Contributions (19) Un-itemized Pledged Contributions (50 and less) # of Pledges + (20) temized Pledged Contributions (Total of all Schedule F sheets) + (21) Total Pledged Contributions this period ~

3 SCHEDULE A TEMZED CONTRBUTONS Of more than fifty dollars (50.00) this period of :t, Name of Candidate or Committee: / _ L..eDA/A- Date Received :3 J:<!}'j 312'!! J';J t./13 1/Y L-/13 1/Y Prima1y Full Name, Mailing Address and Zip Code of Contributor/Lendel' l. LEtAA/t.4 l!j~tc We >' z t;o So v 11 & RL. f!'o/ Tl:, '??J3/~ 2. lo/f.lc.a OiL ~~.) "/ &ve.tt.~~ ;:w~ fjv k.l-'=7 1 ;:rt. 3. G-LetJ 6Arc.J. '{8 ~ - 'fl)& w ~VU~.):-(l 9.l'Jfe 81 3 JS 4. l.t?r>jefl SAowKit3t 11.,, L tj rett,r#la ~ 60/ll..Gtj " '-0 83:318 &-/tttnf /J/if/tAfA.S / J t; J'8 J,3~ tj A KL ey /we'" AuA..E ::r11 t 7-;r 18 ~ tly c fr ~KY t./1 fj /3 13 a W ~ /c-0 J'rrvfl...i o-ft.-u::v.!, P6 -~J'tl(J LJ1111 }8 Prima1y Ek. le.;/ 11 tv KS ftr JJo tv~r /00 ~v /3 ijrj.. Jf'f r :/J) ~331? 8. c;.fej tar,5'c,/ 33~(1..J, ~o S: 1t./a 'l11y i> utf ll:"j, :%/J 3 "33 1 ~ 'f 12 '1/ i '8 9. fm C..).1n.s1TNscn 715~v-#...52x:J tu~ Pdmaiy '- t2s;!? lfjfu.,'="j, -'PJJ f35/j> 10. <;.Lw 8 G::-K '-18.5 l..{c o k.j (3 v/2.ltey, _::rd. fj?j/8 Total This Page: Cash or Check ltjc. oo / Cb ~ 2, tc.ou /_ 6 e-c" /dc cc Z-9 (!0 1,S-0 -C'fJ :~c-c D.'JbO~ fjo ~alendar year To Date l CJC-oV /t/lj, ~ / () ~ -(/<) L~J-CO <)0 QC ~()~ C () ZSb ~,J...sr,.,.. o<l 00.oO ~6-0' /:nlendar year To Date ~().. t, 0 Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2, line 2

4 SCHEDULE A TEMZED CONTRBUTONS Of more than fifty dollars (50.00) this period of 'j_, Name of Candidate or Committee: L1 o Al A/e..A Date Received Full Name, Mailing Address and Zip Code of Contributor/Lender 1. ALFl{E:/3 (?_ 6UUl.l.1S l t8 /113 0 Vb fu.'w A. Ave /J.v/lle7j ~~ 5311.f 2. Primaiy Prima1y Pri.maiy Primaty Primaty Primmy Total This Pa2e: Cash or Check / 00,- H ft.jo, o t Calendar year.to Date Cnlcndar year To Date /oo_ 60 Transfer the combined total of all Schedule A pages to the Detailed Summai-y on page 2, line 2

5 Name of Candidate or Committee: le<jn llf-l.d ~ri<!/( SCHEDULE B TEMZED EXPENDTURES Of Twenty-Five Dollars (200) or more this period urpose Codes A. All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B. Broadcast Advertising (Radio, TV & nternet) C. Contributions to Candidates & PAC's D. Donations & Gifts E. Event Expenses F. Food & Refreshments G. Operational Expenses L. Literature, Brochures, Printing M. Management Services N. Newspaper & Other Periodical Advertising 0. Other Advertising (Yard Signs, Buttons, etc.) P. Postage S. Surveys & Polls T. Tickets (Events) U. Utilities W. Wages, Salaries, Benefits & Bonuses Y. Petition Circulators Z. Preparation & Production of Advertising Date Spent tfull Name, Mailing Address and Zip Code of Recipient Purpose Code Cash or Check 1. Z ~(J f3e// lft #~ lfapc-a. 'J.373l ~ ~,w~ 3? L!lJ_J_j p_ l!l! ~ J:i... l/1vl{ rrwuj. 3:-h. 5?3'3YV 0,2S;l..Ot> 12. TE't/l.~ ' 5A J\-ul 5~oid 'ffi' f"f1e 'C 11l.c L. F' /()(). 06,,o,i4- ~ Y331 3.,_/_/_ 4.,_/_/_, / /, /_/ /_/_ 8. )_/_ 9. _/_/_ 10. _/_/_ ~ Total This Page 3S:2.,oo Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2, line 7

6 SCHEDULEE CREDT CARDS and DEBT Each incurred expense not yet paid (i.e. credit card purchases and debt) should be listed on a separate line. Each time you make purchases with a credit card or incur debt, it is considered to be a separate item. However, you will maintain a single item for each credit card and add purchases to that item. Each Creditor listed below with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where the debt was incurred. Credit Cards are considered Debt to the campaign. Regardless of whether the credit card is repaid when the statement is received, all credit card transactions will appear on Schedule E and E-1. However, only Repayments of Debt during this reporting period appear in the Expenditure Section of the Detailed Summary Page. Any creditor(s) with a balance(s) appearing on the last report must be listed below with the amount in the Previous Balance column. Any new debt should be listed in the New Debt column, including any accrued interest. f a payment was made on the debt, list it in the Repayments column. NOTE: Any debt that was repaid in full in a previous reporting period does not need to be listed. The Outstanding Balance column is the Previous Balance plus New Debt less any Repayments of Debt. Name, Mailing Address and Zip Code of Pl'evious Balance of debt New Debt amount Repayments of Debt Balance Lender at the end of the last incurred during this during this reporting Outstanding at the end of this Candidate, ndividual or Business reporting period reporting period period reporting period 1. C'rfi1"1+l JAJ6 Date: Date: ~ if 1/'8 5'93~'tS> & ~ /,os-ol ~ount: {,t<,j ~ftm1jus7rv Ot 9hJb St/35,ifR.-e 2. Date: Date: - 3. Date: Date: 4. Date: Date: - - s. Date: Date: ~ount: Date: Date: - - Previous ncurred Repayments Ending Balance Previous Total ~ ncurred Total: (Transfer combined total of all incurred debt to the Detailed Summary, page 2, line 14 S13S:t/8 Repayments Total: (Transfer the combined total of all debt repayments to the Detailed Summary, page 2, line 10 & 17),,e- Ending Balance Total: 513.S'/f

7 !Name of Creditor from Schedule E: 1-!?dd~ll ::) SCHEDULE E-1 CREDT CARD and DEBT TEMZATON ~g;,c.. Each Creditor listed on Schedule E with a New Debt amount must have a Schedule E-1 accompanying it. The Schedule E-1 lists where and when the debt was incurred. Purpose Codes A. All Travel Expenses (Airfare, Fuel, Lodging & Mileage) B. Broadcast Advertising (Radio, TV & nternet) C. Contributions to Candidates & PAC's D. Donations & Gifts E. Event Expenses F. Food & Refreshments G. Operational Expenses. nterest Accrued & Finance Charges L. Literature, Brochures, Printing M. Management Services N. Newspaper & Other Periodical Adve1tising 0. Other Adve1tising (Yard Signs, Buttons, etc.) P. Postage S. Surveys & Polls T. Tickets (Events) U. Utilities W. Wages, Salaries, Benefits & Bonuses Y. Petition Circulators Z. Preparation & Production of Advertising Date ncurred Full Name, Mailing Address, and Zip Code of Expenditures Purpose Code Amount 1. LFc ~rw-u;, ~noa o~~ _!) ;!J_; g_ 9,x;.M_ '(7N /6CJ wj..:.r;:.' "fl~ -rt:i ~":?:J3.R ~ 2. _j_j 3.~,~ 7i1e 7i'r,. '65' v 1:w s.fbs. 1h' /Mp'lfl.. f'/8 7iLJ,,,.,, h J/e Z:-,A:) Jr.1~ t1 -~ Al _!i_j -1i! JX. 3 Soi. V /3o!lr,t"E~'S 56 C,-r,o',J.s 1 '13'9 l»oa t:.,.,,...t./ /11 PL C::.JJc:P<:d1:1 -r-l Lah~C/-?3<./ 0, - ~~ 4. _/_/_ _/_!_ Total This Pal!e 513S t/8 The total of itemization for this creditor should equal the new loan amount listed on Schedule E for this creditor.

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer